| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.80 | $73.83 | $83.97 | |
BCBS
| Professional | $57.46 | $57.46 | $76.61 | |
Cigna
| Professional | $36.14 | $36.14 | $36.14 | |
Molina
| Professional | $60.00 | $134.26 | $156.32 | |
Providence
| Facility | $60.93 | $71.98 | $81.52 | |
Providence
| Professional | $36.14 | $36.14 | $70.14 | |
United
| Professional | $34.72 | $37.57 | $56.59 |